MaterniT21 coverage denied

Anyone else having a problem with their insurance co. paying for this test? I got an estimated bill for $2700, THEN a letter from United saying this.

Our clinical staff reviewed the submitted documentation and determined that the above listed service has not been proven effective ... The service is considered an experimental or unproven treatment due to lack of evidence (blah blah) BS BS.

This is such crap. I am so mad! My OB told me this test replaces the amnio and now United is trying to say it's experimental and not trustworthy. Hate you insurance! I will have to ask my OB to help in my appeal.

Most won't. Mine wouldn't. You will only have to pay 235..I think...or 253. Call their customer service and they will help. They told me that is what I needed to do. I didn't go through with it due to a mix up in my sample, but money was a huge factor.

Call Sequenom if you can't get anywhere with your doc and insurance. They know their test is not covered by all insurance but only charge $235 to keep costs managable and get it used by more people... Still haven't heard anything from my insurance about it but was told by my genetic counselor that I'd only be charged $235 if it wasn't covered.

I was told it is still so new that most insurance companies deny it as experimental. The company that runs the test however wants people to use it so that it becomes more well known and accepted so if your insurance denies it the company will only make you pay ~$200

I was also told that in the rare case your insurance accepts it, they ususally only pay a portion then you are stuck with the rest of the bill. So most cases its best if your insurance flat out denys it.